Huerta M, Avila R, Jiménez H I, Díaz R, Díaz J, Díaz Huerta M E, Hernández M, Martinez J J, Garate T, Gómez E, Abad T, Fragoso G, Fleury A, Sciutto E
Facultad de Medicina, Benemérita Universidad Autónoma de Puebla, 13 Sur No. 2702, Col. Volcanes, Puebla, Pue. Mexico; Unidad Medico Familiar 57 IMSS, Puebla, Mexico.
Trans R Soc Trop Med Hyg. 2008 Apr;102(4):374-9. doi: 10.1016/j.trstmh.2007.12.009. Epub 2008 Mar 5.
High neurocysticercosis (NC) prevalence was recently determined by a computed tomography (CT) scan study in the community of Tepetzitzintla, State of Puebla, Mexico. The aim of the present work was to evaluate the magnitude of fecal and parasite contamination by Taenia spp. in the soil of households of this community during the four seasons of the year. The toilet, backyard, kitchen, washboard, water containers and corrals of 14 to 26 households were sampled during each season. High Taenia spp. egg intensity was found in 24.2% of the sampled areas. The highest percentage was detected in Spring and the lowest in Summer. Significantly higher levels of Taenia spp. eggs were present in kitchen soil samples. A significant correlation was found between the presence of Taenia spp. eggs in household soil during the Summer, and NC diagnoses of the inhabitants by CT scan. Coproparasitological examinations and anti-cysticercal antibodies were determined in a cohort of inhabitants of the sampled households. Antibody levels and coproparasitological results were not associated with NC. Overall, these results illustrate the high degree of fecal contamination of potential risk to human health in rural communities and could be of use for control programmes.
最近,通过计算机断层扫描(CT)研究确定了墨西哥普埃布拉州特佩齐津特拉社区神经囊尾蚴病(NC)的高流行率。本研究的目的是评估该社区家庭土壤中全年四季内带绦虫属的粪便和寄生虫污染程度。在每个季节对14至26户家庭的厕所、后院、厨房、洗衣板、水容器和畜栏进行采样。在24.2%的采样区域发现了带绦虫属的高虫卵密度。春季检测到的百分比最高,夏季最低。厨房土壤样本中带绦虫属虫卵的含量明显更高。夏季家庭土壤中带绦虫属虫卵的存在与居民通过CT扫描诊断的NC之间存在显著相关性。对一组采样家庭的居民进行了粪便寄生虫学检查和抗囊尾蚴抗体检测。抗体水平和粪便寄生虫学结果与NC无关。总体而言,这些结果表明农村社区存在对人类健康具有潜在风险的高度粪便污染,可能对控制计划有用。